Organization
SPECKMAN THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A. SPECKMAN P.T. (PHYSICAL THERAPIST/PRESIDENT)
(630) 553-6888
Entity
Organization
Contact information
Practice address
88 SCHOOLHOUSE RD, YORKVILLE, IL 60560-9046
(630) 553-6888
Mailing address
88 SCHOOLHOUSE RD, YORKVILLE, IL 60560-9046
(630) 553-6888
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
070-007763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4732110
BLUE CROSS BLUE SHIELD ILLINOIS
IL
Enumeration date
05/15/2008
Last updated
01/27/2009
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